Provider Demographics
NPI:1427293158
Name:WILSON, MEGHANN D (ACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MEGHANN
Middle Name:D
Last Name:WILSON
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:MEGHANN
Other - Middle Name:D
Other - Last Name:UNDERWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACNP-BC
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1215 21ST AVE S
Practice Address - Street 2:MCE NORTH TOWER, SUITE 5100
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8808
Practice Address - Country:US
Practice Address - Phone:615-322-2318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 13920363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103:509220Medicare PIN